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Case Studies | Obstetrics and Gynecology | India | Volume 12 Issue 5, May 2023
Incidence and Risk Factors of PPROM and its Maternal and Neonatal Outcomes at Different Gestational Ages
Dr. Jasmine Gulati | Dr. Arvind [12] | Dr. Kulwinder Kaur [2] | Dr. Ashwani Kumar [2]
Abstract: Introduction: In countries with high and low incomes, preterm premature rupture of membranes (PPROM) is a major contributor to perinatal, neonatal, and maternal morbidity and mortality. The impact of PPROM is exacerbated in developing countries as a result of various factors related to the standard of healthcare provided and socioeconomic factors. Aims & Objectives: To determine the incidence and risk factors of PPROM. We also assess the obstetric and neonatal outcomes at different gestational ages. Methodology: This was a prospective study conducted in the Department of Obstetrics and Gynecology, Bebe Nanki Mother and Child Care Centre, Guru Nanak Dev Hospital, Amritsar on the pregnant women attending the indoor or outdoor services between February 2021 and May 2022 with preterm premature rupture of membrane (PPROM). Results: Nearly 63.6%neonates had noneonatal morbidity while 36.4%had neonatalmorbidity in form of jaundice, RDS, septicemia, meningitis and hypoglycemia. Maternal outcome and Neonatal outcome at different gestational age was found to be statistically significant (p<0.05). Latency period , abnormal vaginal discharge, history of PROM etc. were found to be significant maternal risk factors on statistical analysis (p<0.05). Conclusion: Based on the findings of the present study, we conclude that abnormal vaginal discharge, vaginal bleeding, previous premature rupture of membrane etc. were associated with preterm premature rupture of membrane. Thus, early screening and treatment of urinary tract infections and abnormal vaginal discharges were recommended to reduce the risk of preterm premature rupture of membrane.
Keywords: Culture and sensitivity, neonatal outcome, chorioamniotis, maternal risk factors, CRP
Edition: Volume 12 Issue 5, May 2023,
Pages: 954 - 959